Individual provider Active NPI

Julio Mario Ibars Alvarez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1215606926
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014594 Issued in FL
Practice address
3181 Coral Way FL 5TH
Miami, FL 33145-3216
Phone
(305) 858-3494
Fax
(305) 444-0780
NPI assigned
Sep 8, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014594 FL Primary

Addresses

Primary practice location

3181 Coral Way FL 5TH
Miami, FL 33145-3216

Mailing address

14205 SW 57TH LN Apt 3
Miami, FL 33183-1075
Phone (786) 387-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014002010 FL Practitioner - Nurse Practitioner 4880092204 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11014594FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roa-Licea MD, PA CurrentSince Aug 8, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Current Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1215606926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 SW 57TH LN APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831075",
            "telephone_number": "786-387-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY FL 5TH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453216",
            "telephone_number": "305-858-3494",
            "fax_number": "305-444-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARS ALVAREZ",
        "first_name": "JULIO",
        "middle_name": "MARIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.